TABLE 2:

Clinical characteristics of mismatch cases

Age (y)/SexDurationTIAsvDWIvPWIEchocardiographyCarotid Duplex SonographyAngiographyMRAMRITherapyEtiology
64/M12 h46.118.4TTE: Dilatation L atriumL carotid occlusionSevere L ICA stenosisAbsent L ICACortical acute infarcts R MCA territoryCEALAA
56/M20 min214.926.8TTE: NormalUnremarkableNot performedUnremarkableAcute subcortical infarct L MCA territoryBP increased, MAP >100 mm Hg; IV heparin + oral aspirinCE
61/M20 min20245.7TEE: Global systolic dysfunction, inferior-wall akinesis, decreased ejection fraction (40%), moderate aortic atherosclerosisOcclusion L CCA, 60% stenosis R ICANot performedL ICA occlusion, stenosis of L MCA branches2 small, old R MCA infarcts, mild periventricular leukoaraiosisBP increased, IV heparin + oral aspirinLAA
67/F30 min21.521.1TTE: NormalSevere ICA stenosis, flow reversal on ophthalmic arteryR carotid stenosisIrregular supraclinoid L ICAScattered small acute infarcts, watershed distribution in R MCACEALAA
42/F20 min10372Not performedNot performedL MCA stenosis with distal occlusionL MCA occlusionUnremarkableEC-IC bypassLAA
71/F4 h35.544TTE: NormalNot performedL MCA (M1) stenosisL MCA (M1) stenosisL posterior corona radiata acute ischemiaWarfarinLAA
63/M20 sMultiple028.2Not performed60% stenosis R ICASevere L cavernous ICA stenosis, tandem stenosis bilateral ACAsL cavernous ICA stenosis, bilateral ACA stenosisOld confluent subcortical areas of leukomalacia in both frontal lobes, moderate leukoaraiosisBalloon angioplastyLAA
  • Note.—BP indicates blood pressure; IV intravenous; TEE, transesophageal; TTE, transthoracic.